API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-11 08:08:50.849406 | 2025-11-11 08:08:53.627057 | 14597014 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-11 | F | PT | 4191 | PAUL | XEK914147727 | SARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543211/check_14597014_581bb55d-e653-45fe-b1e3-44573b470a22.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_14597014_cce02396-b3fe-4852-828d-9f91acb66ae3.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256725466 | N/A | N/A | 5543211 | 2222 | N/A | 14828250 | N/A | 4215028 | 2025-11-11 08:08:53.627057 | 2025-05-13 04:29:37.229346 |
| 2025-11-11 08:08:49.927222 | 2025-11-11 08:08:52.688194 | 14596961 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-27 | 2025-11-11 | F | PT | 4184 | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543324/check_14596961_e422e591-f08c-4320-b46c-d76464bc19e5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_14596961_4138ec2e-2ede-4df5-bfe7-9ce498c0cb36.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256725403 | N/A | N/A | 5543324 | 2222 | N/A | 14828246 | N/A | 4215131 | 2025-11-11 08:08:52.688194 | 2025-08-11 16:45:52.816842 |
| 2025-11-11 08:08:49.311651 | 2025-11-11 08:08:52.527300 | 14596930 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-12-13 | 2025-11-11 | F | AE | 3937 | ASSENGA | TWA295A70455 | NANCY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542618/check_14596930_77806f61-851f-49e1-894d-a8c3f0785792.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542618/check_14596930_742bdd01-21c8-4682-9a3d-54a0ff0d009d.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | AETNA | N/A | 1975-12-13 | 0846522 | 084652202300182 | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256725386 | N/A | N/A | 5542618 | 2222 | N/A | 14828245 | N/A | 4214504 | 2025-11-11 08:08:52.527300 | 2025-05-13 04:29:37.228820 |
| 2025-11-11 08:08:48.216200 | 2025-11-11 08:08:55.454947 | 14596870 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-29 | 2025-11-11 | F | AE | 23307 | MARTINEZ | 40032670501 | MARIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540591/check_14596870_440ddc44-f5ae-43ff-9da8-f0990088dd03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540591/check_14596870_3b2031e6-ed41-48ad-9632-7d0eef38636b.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256725320 | N/A | N/A | 5540591 | 2222 | N/A | 14828257 | N/A | 4212724 | 2025-11-11 08:08:55.454947 | 2025-07-26 22:27:37.781276 |
| 2025-11-11 08:08:46.299743 | 2025-11-11 08:08:48.775422 | 14596758 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-06-15 | 2025-11-11 | F | AE | 4497 | ADIB | 1TJ9E76RP17 | JILA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540303/check_14596758_71d9a8a9-1208-4629-9023-b80e5a785b25.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540303/check_14596758_2a258a8c-cd14-4796-b391-3313639a8a0e.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part A | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MA | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256725178 | N/A | N/A | 5540303 | 2222 | N/A | 14828236 | N/A | 4212486 | 2025-11-11 08:08:48.775422 | 2025-09-30 02:32:14.808821 |
| 2025-11-11 08:08:45.659927 | 2025-11-11 08:08:49.376448 | 14596724 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2006-06-08 | 2025-11-11 | M | PT | 4185 | DATO | NGO555A50496 | LUKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538229/check_14596724_d4f6f1de-a4ac-44c7-bf23-674ba39882cb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538229/check_14596724_ca96df45-2bb6-4367-a72b-eae27af6d679.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256725137 | N/A | N/A | 5538229 | 2222 | N/A | 14828237 | N/A | 4210676 | 2025-11-11 08:08:49.376448 | 2026-05-21 21:09:28.809390 |
| 2025-11-11 08:08:45.229637 | 2025-11-11 08:08:50.872795 | 14596696 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-16 | 2025-11-11 | F | AE | 6237 | OSE | 40050866601 | KAREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537366/check_14596696_b9d57624-a99d-46cb-bfa6-6da11fc0db20.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_14596696_8c87320b-cee9-46c9-91fe-948b92001ff4.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256725130 | N/A | N/A | 5537366 | 2222 | N/A | 14828239 | N/A | 4209945 | 2025-11-11 08:08:50.872795 | 2025-08-13 22:24:17.841096 |
| 2025-11-11 08:08:44.154636 | 2025-11-11 08:08:46.743354 | 14596621 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-08-26 | 2025-11-11 | M | AE | 4497 | ROTHMAN | 6H65JC7UD67 | MIKE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536194/check_14596621_b33fadd3-dee9-49f1-9945-eb1aa1270b19.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_14596621_bf0debf5-fe2b-43dd-bf21-731d42c5073c.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MB | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256725052 | N/A | N/A | 5536194 | 2222 | N/A | 14828230 | N/A | 4208978 | 2025-11-11 08:08:46.743354 | 2025-05-13 04:29:37.223404 |
| 2025-11-11 08:08:23.998026 | 2025-11-12 01:51:17.812883 | 14595412 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14595412 | Athletic Physical Therapy Inc | 1960-05-08 | 2025-11-14 | F | AE | N/A | ALNOURI | 6X49PCORA33 | SHARIFEH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508125/check_14595412_7f7bd332-185f-4dc1-a49e-e5237562f2a9.json | N/A | N/A | N/A | N/A | N/A | 6X49PCORA33 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1960-05-08 | N/A | N/A | N/A | N/A | false | ALNOURI | N/A | SHARIFEH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256731973 | N/A | N/A | 11508125 | 2222 | 4802 | 14876255 | N/A | 9748914 | 2025-11-12 01:51:17.812883 | 2025-10-27 18:43:47.576827 |
| 2025-11-11 08:08:18.477247 | 2025-11-12 01:43:28.453130 | 14595077 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14595077 | Athletic Physical Therapy Inc | 1954-03-16 | 2025-11-14 | M | AE | N/A | MCCLURE | 7T40AT1FV09 | JOHN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102928589.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10277418/check_14595077_ce3a6213-cf4a-41e7-845e-0a0f33d663bd.json | N/A | N/A | N/A | N/A | N/A | 7T40AT1FV09 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-03-16 | S4802 | N/A | N/A | MB | false | MCCLURE | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256864895 | N/A | N/A | 10277418 | 2222 | 4801 | 14867150 | N/A | 8551982 | 2025-11-12 01:43:28.453130 | 2025-10-21 18:53:20.562386 |
| 2025-11-11 08:08:12.663303 | 2025-11-12 01:43:43.974375 | 14594721 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14594721 | Athletic Physical Therapy Inc | 1945-12-27 | 2025-11-13 | F | AE | N/A | SANDERS | 8300000009139 | ELIZA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113442431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11616313/check_14594721_eeea72f9-ad39-49ba-9d2b-e73b773e5e51.json | N/A | N/A | N/A | N/A | N/A | 8300000009139 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1945-12-27 | N/A | N/A | N/A | N/A | false | SANDERS | N/A | ELIZA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256886549 | N/A | N/A | 11616313 | 2222 | 4802 | 14867677 | N/A | 9854001 | 2025-11-12 01:43:43.974375 | 2025-10-28 23:10:42.487962 |
| 2025-11-11 08:08:09.375816 | 2025-11-12 01:42:59.437831 | 14594540 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14594540 | Athletic Physical Therapy Inc | 1949-06-08 | 2025-11-14 | F | AE | N/A | VASQUEZ | 40065054801 | LUZ | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113442431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11612656/check_14594540_2b26cd5e-e784-492d-b376-7c2ca8b55412.json | N/A | N/A | N/A | N/A | N/A | 40065054801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-06-08 | 2025H5425001 | H5425M | N/A | N/A | false | VASQUEZ | N/A | LUZ | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256886543 | N/A | N/A | 11612656 | 2222 | 4801 | 14866036 | N/A | 9850421 | 2025-11-12 01:42:59.437831 | 2025-10-28 20:49:35.276132 |
| 2025-11-11 08:07:59.177027 | 2025-11-12 01:47:58.203126 | 14593932 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14593932 | Athletic Physical Therapy Inc | 1949-08-12 | 2025-11-12 | F | AE | N/A | NAGLE | 6VF8A13VP64 | JAMES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11457994/check_14593932_41891cc8-6dec-4b47-a44a-e44ac8c0ae07.json | N/A | N/A | N/A | N/A | N/A | 6VF8A13VP64 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-08-12 | S5617 | N/A | N/A | MB | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256730466 | N/A | N/A | 11457994 | 2222 | 4801 | 14873198 | N/A | 9707473 | 2025-11-12 01:47:58.203126 | 2026-02-05 20:49:45.747494 |
| 2025-11-11 08:07:50.451883 | 2025-11-12 03:46:28.740749 | 14593382 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14593382 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-11-14 | M | AE | N/A | HILTSER | 208616901 | LORNE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113530401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_14593382_37477498-b6b0-4bab-b4a6-24f0076d72b1.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256775613 | N/A | N/A | 8048052 | 2222 | 4802 | 14894313 | N/A | 6844134 | 2025-11-12 03:46:28.740749 | 2025-08-29 16:18:21.978739 |
| 2025-11-11 08:07:47.077652 | 2025-11-12 01:43:28.792990 | 14593149 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14593149 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-11-12 | F | AE | N/A | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102928589.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14593149_0eb239bd-046f-49b7-ac78-ce957e31db3e.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MA | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256864859 | N/A | N/A | 10259566 | 2222 | 4802 | 14867162 | N/A | 4213281 | 2025-11-12 01:43:28.792990 | 2025-05-13 04:29:37.227606 |
| 2025-11-11 08:07:46.403559 | 2025-11-12 01:43:24.799237 | 14593104 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14593104 | Athletic Physical Therapy Inc | 1961-06-24 | 2025-11-13 | M | PT | N/A | RAY | PAS838471972 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420779/check_14593104_911936ed-6a22-4663-9c41-f09e8a5fc98e.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 1961-06-24 | N/A | 152001 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2025-06-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256731265 | N/A | N/A | 11420779 | 2222 | 4801 | 14867012 | N/A | 9673427 | 2025-11-12 01:43:24.799237 | 2025-11-03 19:27:12.288254 |
| 2025-11-11 08:07:45.369618 | 2025-11-12 01:37:10.216470 | 14593032 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14593032 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-11-13 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_14593032_540a9d89-709f-4619-8709-8401397ebb7d.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 2026-01-01 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256735340 | N/A | N/A | 7458512 | 2222 | 4793 | 14854492 | N/A | 6021448 | 2025-11-12 01:37:10.216470 | 2025-07-14 23:05:51.728886 |
| 2025-11-11 08:07:42.810881 | 2025-11-12 01:42:30.125589 | 14592867 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14592867 | Athletic Physical Therapy Inc | 1956-05-08 | 2025-11-13 | F | AE | N/A | COPLIN | 00000378130 | DEBRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415453/check_14592867_748664cc-c863-49a9-a219-f4c78e2dbdc1.json | N/A | N/A | N/A | N/A | N/A | 00000378130 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-05-08 | H3815028 | N/A | N/A | HM | false | COPLIN | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256731198 | N/A | N/A | 11415453 | 2222 | 4801 | 14864939 | 2630 | 9670237 | 2025-11-12 01:42:30.125589 | 2025-11-03 23:57:15.890657 |
| 2025-11-11 08:07:42.316892 | 2025-11-12 01:42:30.458597 | 14592834 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14592834 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-14 | F | AE | N/A | HINDOYAN | 00000381176 | MARIAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415049/check_14592834_03a3d2d5-1731-4f4c-9643-01d9fe0d0fd4.json | N/A | N/A | N/A | N/A | N/A | 00000381176 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-07-01 | H3815039 | N/A | N/A | HM | false | HINDOYAN | N/A | MARIAM | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256731187 | N/A | N/A | 11415049 | 2222 | 4801 | 14864949 | 2630 | 4219019 | 2025-11-12 01:42:30.458597 | 2026-03-18 18:00:45.440632 |
| 2025-11-11 08:07:42.061675 | 2025-11-12 01:39:48.676966 | 14592819 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14592819 | Athletic Physical Therapy Inc | 1972-07-09 | 2025-11-12 | F | AE | N/A | JOHNSON OLAD | H6507221700 | CATINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415027/check_14592819_96146403-28c6-4244-ab2e-958d76140ce1.json | N/A | N/A | N/A | N/A | N/A | H65072217 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1972-07-09 | N/A | 0B666001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256729323 | N/A | N/A | 11415027 | 2222 | 4793 | 14859498 | N/A | 9669773 | 2025-11-12 01:39:48.676966 | 2025-10-30 23:36:57.101747 |
| 2025-11-11 08:07:34.940436 | 2025-11-12 01:36:40.640913 | 14592357 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14592357 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-11-13 | F | AE | N/A | Dickenson | 91000390H | Linda | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_14592357_ff1c2e26-9972-41ff-821f-0eeee5c17793.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1953-07-31 | N/A | N/A | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256734179 | N/A | N/A | 7449889 | 2222 | 4802 | 14853862 | N/A | 6399696 | 2025-11-12 01:36:40.640913 | 2025-07-24 23:24:56.744520 |
| 2025-11-11 08:07:34.733059 | 2025-11-12 01:38:48.222583 | 14592342 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14592342 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-11-12 | M | PT | N/A | Prichard | XED910420685 | Riley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449872/check_14592342_e7239dce-2352-48bf-b319-68e5938ac078.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 9999-12-31 | 2021-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256734178 | N/A | N/A | 7449872 | 2222 | 4802 | 14857454 | N/A | 6399679 | 2025-11-12 01:38:48.222583 | 2025-07-24 23:16:22.582609 |
| 2025-11-11 08:07:34.281679 | 2025-11-12 01:31:11.665552 | 14592315 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14592315 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-11-12 | M | AE | N/A | Thur | 95641377F | Pyi | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_14592315_5e3cbd7a-ac34-4469-aeac-3d001506b2a0.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-09-23 | N/A | N/A | N/A | N/A | false | THUR | N/A | PYI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256734176 | N/A | N/A | 7449843 | 2222 | 4802 | 14847968 | N/A | 6399635 | 2025-11-12 01:31:11.665552 | 2025-07-29 18:42:47.970149 |
| 2025-11-11 08:07:26.259325 | 2025-11-12 01:44:40.033017 | 14591801 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14591801 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-12 | F | AE | N/A | SHAKIB | 1MR6XC7NU77 | PARI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444722/check_14591801_91540f66-57e9-4654-87ba-41780421a071.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MB | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256733638 | N/A | N/A | 7444722 | 2222 | 4802 | 14869457 | N/A | 6395498 | 2025-11-12 01:44:40.033017 | 2026-02-18 02:38:35.073779 |
| 2025-11-11 08:07:24.263385 | 2025-11-12 01:44:37.828152 | 14591675 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14591675 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-11-13 | M | AE | N/A | BHAMRAH | 8FX0NA8MD19 | KULDIP | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_14591675_ac283162-39d5-4aba-8c91-d81add8c62be.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256733619 | N/A | N/A | 7442857 | 2222 | 4801 | 14869387 | N/A | 6393941 | 2025-11-12 01:44:37.828152 | 2025-08-13 16:33:53.313259 |
| 2025-11-11 08:07:12.731510 | 2025-11-12 01:38:48.964287 | 14591008 | N/A | N/A | 60054 | Aetna | 1114042165 | 14591008 | Athletic Physical Therapy Inc | 1962-12-15 | 2025-11-14 | F | AE | N/A | SWAUGER | HMO600540131 | TRACEY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11365153/check_14591008_c0fd1f44-ba48-4fda-b65c-5c7de875a084.json | N/A | N/A | N/A | N/A | N/A | W284211561 | Health Maintenance Organization (HMO) | PEPPERDINE UNIVERSITY | AETNA | N/A | 1962-12-15 | EAC58V02 | 023248701000201 | N/A | HM | false | SWAUGER | N/A | TRACEY | N/A | N/A | N/A | HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256730906 | N/A | N/A | 11365153 | 2222 | 4793 | 14857490 | N/A | 9633780 | 2025-11-12 01:38:48.964287 | 2025-11-03 19:06:43.846890 |
| 2025-11-11 08:07:11.980413 | 2025-11-12 01:47:59.568654 | 14590969 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14590969 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-11-14 | M | AE | N/A | WAHL | 6CX2NW3WP90 | LELAND | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_14590969_bd47584c-7c32-4a3c-9d72-c32bbfa5d671.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MA | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256730889 | N/A | N/A | 11364481 | 2222 | 4793 | 14873215 | N/A | 9633229 | 2025-11-12 01:47:59.568654 | 2026-02-05 17:07:37.378883 |
| 2025-11-11 08:07:09.417434 | 2025-11-12 01:42:30.783348 | 14590857 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14590857 | Athletic Physical Therapy Inc | 1957-11-06 | 2025-11-14 | M | AE | N/A | PAZ | 00000376554 | MARIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11359237/check_14590857_547c3758-48fa-41b1-b0cb-be74825cefcd.json | N/A | N/A | N/A | N/A | N/A | 00000376554 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-11-06 | H3815028 | N/A | N/A | HM | false | PAZ | N/A | MARIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256732194 | N/A | N/A | 11359237 | 2222 | 4801 | 14864961 | 2630 | 9630212 | 2025-11-12 01:42:30.783348 | 2025-10-22 17:21:29.196650 |
| 2025-11-11 08:07:05.704662 | 2025-11-12 05:39:03.889966 | 14590704 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14590704 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-11-13 | M | AE | N/A | CICCIARI | 1AK4JC6NK84 | LOUIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105758467.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_14590704_27883be7-5198-41fa-92b5-8da9f0527595.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256870182 | N/A | N/A | 6752936 | 2222 | 4801 | 14902224 | N/A | 5065602 | 2025-11-12 05:39:03.889966 | 2025-07-01 17:25:13.681724 |
| 2025-11-11 08:07:03.321314 | 2025-11-12 03:44:12.614238 | 14590594 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14590594 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-13 | F | AE | N/A | REISMAN | 6C16CN3FM49 | GAIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_14590594_4f501cf6-c5ca-4483-b1d8-cedb2f250168.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256875953 | N/A | N/A | 10984906 | 2222 | 4802 | 14892274 | N/A | 9156222 | 2025-11-12 03:44:12.614238 | 2026-01-08 22:56:20.879547 |
| 2025-11-11 08:06:59.876112 | 2025-11-12 01:38:12.811397 | 14590419 | N/A | N/A | 60054 | Aetna | 1114042165 | 14590419 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-11-12 | F | AE | N/A | Bitton MANFREDI | W228688169 | SANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.110019651.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_14590419_08a64ba6-1b13-4b33-a5eb-44bb1d119bf8.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9257040086 | N/A | N/A | 6417889 | 2222 | 4793 | 14856297 | N/A | 5065591 | 2025-11-12 01:38:12.811397 | 2025-06-18 18:47:45.179937 |
| 2025-11-11 08:06:52.018274 | 2025-11-12 03:48:09.941232 | 14589997 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14589997 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-11-13 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113530401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_14589997_d47f7287-d281-4a9c-8fac-87c6b081b441.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256775039 | N/A | N/A | 8026951 | 2222 | 4801 | 14895456 | N/A | 6828511 | 2025-11-12 03:48:09.941232 | 2025-08-14 00:23:35.929152 |
| 2025-11-11 08:06:49.006961 | 2025-11-12 03:46:50.512974 | 14589822 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14589822 | Athletic Physical Therapy Inc | 1997-05-14 | 2025-11-13 | F | PT | N/A | SCHRODT | XDP041W16673 | CLARE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113530401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026784/check_14589822_c1d4b49b-3069-4eee-a9e7-95e95b1eb486.json | N/A | N/A | N/A | N/A | N/A | XDP041W16673 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1997-05-14 | 040 | 281636M037 | N/A | PR | false | SCHRODT | N/A | CLARE | N/A | 9999-12-31 | 2023-06-12 | UC RESIDENTS AND FELLOWS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256775035 | N/A | N/A | 8026784 | 2222 | 4802 | 14894617 | N/A | 6828383 | 2025-11-12 03:46:50.512974 | 2025-08-12 22:27:19.278771 |
| 2025-11-11 08:06:47.969256 | 2025-11-12 01:35:48.572575 | 14589764 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14589764 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-11-12 | M | AE | N/A | Cohn | R06589895MM1 | David | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_14589764_ab891fcc-792d-467e-89fe-d08f9552ba38.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256734965 | N/A | N/A | 7315101 | 2222 | 4802 | 14852604 | N/A | 6152454 | 2025-11-12 01:35:48.572575 | 2025-07-17 21:44:04.596080 |
| 2025-11-11 08:06:45.197818 | 2025-11-12 01:42:35.455902 | 14589610 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14589610 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-14 | M | PT | N/A | MOYER | JXN542M92477 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_14589610_4b7a805f-91d0-43c8-bce0-de7353fb5588.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256729086 | N/A | N/A | 11278285 | 2222 | 4801 | 14865126 | N/A | 9581032 | 2025-11-12 01:42:35.455902 | 2025-10-21 22:24:54.464325 |
| 2025-11-11 08:06:35.522832 | 2025-11-12 01:39:21.164831 | 14588993 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14588993 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-11-13 | F | AE | N/A | OJEDA DE VALERIO | 40054924601 | MARCELINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105803944.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8634171/check_14588993_55cf4549-3ed9-4c99-82b3-9dd07ddc4790.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-05-27 | 2025H5425001 | H5425M | N/A | N/A | false | OJEDA DE VALERIO | N/A | M | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256949453 | N/A | N/A | 8634171 | 2222 | 4801 | 14858590 | N/A | 7279268 | 2025-11-12 01:39:21.164831 | 2025-09-01 17:13:14.403136 |
| 2025-11-11 08:06:33.277044 | 2025-11-12 01:31:11.335609 | 14588852 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14588852 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-11-13 | F | AE | N/A | Odate | 96680377F | Keina | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7295079/check_14588852_88c033c8-daeb-4306-8837-eb7a12583e78.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2014-05-27 | N/A | N/A | N/A | N/A | false | ODATE | N/A | KEINA | N/A | 2078-12-31 | 2025-05-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256735256 | N/A | N/A | 7295079 | 2222 | 4802 | 14847967 | N/A | 6254701 | 2025-11-12 01:31:11.335609 | 2026-05-21 14:19:15.159394 |
| 2025-11-11 08:06:32.880858 | 2025-11-12 01:38:46.330590 | 14588833 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14588833 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-11-14 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_14588833_8c7b8345-ffb0-4a28-b82a-372def2d7aff.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256735253 | N/A | N/A | 7294742 | 2222 | 4801 | 14857393 | N/A | 6254569 | 2025-11-12 01:38:46.330590 | 2025-08-12 09:24:43.956957 |
| 2025-11-11 08:06:29.794266 | 2025-11-12 01:57:01.034706 | 14588652 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14588652 | Athletic Physical Therapy Inc | 1944-02-19 | 2025-11-13 | M | PT | N/A | CHRISTIE | JQS302A78569 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105826028.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9635046/check_14588652_f9bb0032-0549-4cee-872c-c9e9675ab80c.json | N/A | N/A | N/A | N/A | N/A | JQS302A78569 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1944-02-19 | 040 | CAMCRWP0 | N/A | MP | false | CHRISTIE JR | N/A | GEORGE | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256748823 | N/A | N/A | 9635046 | 2222 | 4801 | 14881860 | 4185 | 4213398 | 2025-11-12 01:57:01.034706 | 2025-09-22 22:02:57.508447 |
| 2025-11-11 08:06:29.231207 | 2025-11-12 01:47:58.845633 | 14588619 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14588619 | Athletic Physical Therapy Inc | 1944-07-11 | 2025-11-13 | F | AE | N/A | SAFAVI | 9AX5KK6UD79 | ASHRAF | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11183545/check_14588619_23ba99ea-76fc-47c8-ba55-37b240932803.json | N/A | N/A | N/A | N/A | N/A | 9AX5KK6UD79 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-07-11 | S4802 | N/A | N/A | MB | false | SAFAVI | N/A | ASHRAF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256731677 | N/A | N/A | 11183545 | 2222 | 4802 | 14873205 | N/A | 9459548 | 2025-11-12 01:47:58.845633 | 2025-10-17 18:54:00.807402 |
| 2025-11-11 08:06:28.260579 | 2025-11-12 01:38:45.412348 | 14588558 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14588558 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-11-12 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_14588558_f735339b-2101-490f-8841-639ffcdb6b64.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256734492 | N/A | N/A | 7281036 | 2222 | 4793 | 14857364 | N/A | 6245462 | 2025-11-12 01:38:45.412348 | 2025-07-24 01:23:15.134681 |
| 2025-11-11 08:06:28.176729 | 2025-11-12 01:55:12.401029 | 14588553 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14588553 | Athletic Physical Therapy Inc | 1944-03-02 | 2025-11-12 | F | AE | N/A | SETRAK | 40064880801 | SETA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105826028.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9634904/check_14588553_7851656a-e683-4ad6-9bae-df95694fa148.json | N/A | N/A | N/A | N/A | N/A | 40064880801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-03-02 | 2025H5425001 | H5425M | N/A | N/A | false | SETRAK | N/A | SETA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256748820 | N/A | N/A | 9634904 | 2222 | 4801 | 14880042 | N/A | 8061360 | 2025-11-12 01:55:12.401029 | 2025-09-22 21:51:14.372865 |
| 2025-11-11 08:06:21.405869 | 2025-11-12 01:47:57.055726 | 14588081 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14588081 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-13 | M | AE | N/A | E Bogen | 9P98YU0FH34 | Andrew | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_14588081_030369bb-5ad7-40bf-86d6-d24c016abeb5.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | N/A | N/A | CMS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256729589 | N/A | N/A | 11174640 | 2222 | 4802 | 14873185 | N/A | 9519718 | 2025-11-12 01:47:57.055726 | 2026-02-02 19:30:57.219688 |
| 2025-11-11 08:06:18.317548 | 2025-11-12 01:37:07.829903 | 14587853 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14587853 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-11-12 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_14587853_8abcccbf-2e6e-42eb-9327-5d9dd756b5ec.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256734746 | N/A | N/A | 7258746 | 2222 | 4802 | 14854431 | N/A | 6224482 | 2025-11-12 01:37:07.829903 | 2025-08-07 00:03:18.267969 |
| 2025-11-11 08:06:17.595144 | 2025-11-12 01:38:48.849968 | 14587797 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14587797 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-11-12 | F | PT | N/A | RAND | XED912141111 | ELLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_14587797_32483201-51b6-4412-959c-6ffa2677e2c2.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256734733 | N/A | N/A | 7257479 | 2222 | 4802 | 14857483 | N/A | 4210270 | 2025-11-12 01:38:48.849968 | 2025-07-08 18:23:05.596578 |
| 2025-11-11 08:06:14.315427 | 2025-11-12 01:36:41.067168 | 14587552 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14587552 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-11-14 | F | AE | N/A | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_14587552_9aa66cfe-03d3-4777-8983-478bf3cd0ce2.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256734688 | N/A | N/A | 7253095 | 2222 | 4802 | 14853866 | N/A | 6219145 | 2025-11-12 01:36:41.067168 | 2025-07-21 16:40:35.276086 |
| 2025-11-11 08:06:14.239822 | 2025-11-12 01:38:47.211362 | 14587547 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14587547 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-11-12 | F | PT | N/A | NOSRAT | XEK904721388 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_14587547_7b3105df-f78c-47c9-a516-6f6de010be17.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256734687 | N/A | N/A | 7252533 | 2222 | 4802 | 14857423 | N/A | 4214065 | 2025-11-12 01:38:47.211362 | 2025-05-13 04:29:37.228379 |
| 2025-11-11 08:06:13.843404 | 2025-11-12 01:44:30.048897 | 14587520 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14587520 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-11-13 | F | AE | N/A | STERINA | 5G17E95JX47 | ELIZABETH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105803944.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_14587520_3f631943-c70f-4103-8bcb-e4556b22e30e.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MA | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256949444 | N/A | N/A | 8632769 | 2222 | 4802 | 14869112 | N/A | 7278220 | 2025-11-12 01:44:30.048897 | 2025-08-26 15:52:58.453727 |
| 2025-11-11 08:06:12.521982 | 2025-11-12 01:37:08.613662 | 14587419 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14587419 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-11-14 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7246170/check_14587419_d97b0423-3132-439a-bcc9-8d2ef944d4e9.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256735570 | N/A | N/A | 7246170 | 2222 | 4801 | 14854450 | 4185 | 4837995 | 2025-11-12 01:37:08.613662 | 2025-06-13 00:15:18.726975 |
| 2025-11-11 08:06:09.801871 | 2025-11-12 01:56:24.341759 | 14587200 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14587200 | Athletic Physical Therapy Inc | 1997-05-07 | 2025-11-14 | F | PT | N/A | KEIPINGER | FDP220267648 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.130022301.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9980304/check_14587200_72ce5680-04da-4fbe-b6ec-937977cd34ad.json | N/A | N/A | N/A | N/A | N/A | FDP220267648 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1997-05-07 | N/A | 10034839 | N/A | PR | false | KEIPINGER | N/A | ALEXIS | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256954336 | N/A | N/A | 9980304 | 2222 | 4793 | 14881217 | N/A | 8354055 | 2025-11-12 01:56:24.341759 | 2025-10-03 21:21:52.013920 |